Computer Problem Report Form (we'd like to see)
Computer Problem Report Form:
Your Name: __________________________
Your Login Name: ____________________
The date? __/__/__
The date the problem first occurred (if different?) __/__/__
1. Describe your problem:
__________________________________________
2. Now, describe the problem accurately:
__________________________________________
3. Speculate wildly about the cause of the problem:
__________________________________________
__________________________________________
4. Problem Severity:
A. Minor__
B. Minor__
C. Minor__
D. Trivial__
5. Nature of the problem:
A. Locked Up__
B. Frozen__
C. Hung__
D. Shot__
6. Is your computer plugged in? Yes__ No__
7. Is it turned on? Yes__ No__
8. Have you tried to fix it yourself? Yes__ No__
9. Have you made it worse? Yes__
10. Have you read the manual? Yes__ No__
11. Are you sure you've read the manual? Yes__ No__
12. Are you absolutely certain you've read the manual? No__
13. Do you think you understood it? Yes__ No__
14. If `Yes' then why can't you fix the problem yourself? _________________
15. How tall are you? Are you above this line? __________________
16. Is the equipment unexpectedly noisy? Yes___ No ___
17. If 'Yes", what sort of noise?
Grinding ___
Rattling ___
Whirring ___
High Pitched Whine ___
Sound of disk head scouring disk ___
Strange, out of tune whistling or humming ___
18. Is there a smell of burning? Yes___ No ___
19. If "Yes", is the equipment on fire? Yes___ No ___
20. Is the fault repeatable? Yes___ No ___
21. What were you doing with your computer at the time the problem
occurred?
_______________________________________________________________
22. If `nothing', explain why you were logged in.
_______________________________________________________________
23. Are you sure you aren't imagining the problem? Yes__ No__
24. How does this problem make you feel? ____________________________
25. Tell me about your childhood. ___________________________________
26. Do you have any independent witnesses of the problem? Yes__ No__
27. Where do you think the fault lies?
Communications ___
Disk ___
Base Unit ___
Network ___
Keyboard ___
Screen ___
Mouse ___
Everything ___
Don't Know ___
28. Can't you do something else, instead of bothering me? Yes_